Pereira A, Ichihara S, Collon S, Bodin F, Gay A, Facca S, Liverneaux P
Department of Hand Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, Icube CNRS UMR7357, 10, avenue Baumann, 67403 Illkirch, France.
Department of Hand Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, Icube CNRS UMR7357, 10, avenue Baumann, 67403 Illkirch, France; Department of Orthopaedic Surgery, Juntendo University, Tokyo, Japan.
Chir Main. 2014 Dec;33(6):379-83. doi: 10.1016/j.main.2014.09.005. Epub 2014 Oct 22.
The aim of this study was to establish the feasibility of microsurgical end-to-side vascular anastomosis with a multiclamp adjustable vascular clamp prototype in an inert experimental model. Our method consisted of performing an end-to-side microsurgical anastomosis with 10/0 suture on a 2-mm diameter segment. In group 1, the end-to-side segment was held in place by a double clamp and a single end clamp. In group 2, the segment was held in place with a single multiclamp adjustable clamp. The average time for performing the anastomosis was shorter in group 2. The average number of sutures was the same in both groups. No leak was found and permeability was always positive in both groups. Our results show that performing end-to-side anastomosis with a multiclamp adjustable vascular clamp is feasible in an inert experimental model. Feasibility in a live animal model has to be demonstrated before clinical use.
本研究的目的是在惰性实验模型中，使用多夹可调节血管夹原型建立显微外科端侧血管吻合术的可行性。我们的方法包括在直径为2毫米的节段上用10/0缝线进行端侧显微吻合术。在第1组中，端侧节段由双夹和单端夹固定到位。在第2组中，节段用单个多夹可调节夹固定到位。第2组进行吻合术的平均时间较短。两组的平均缝线数量相同。两组均未发现渗漏，且通透性始终为阳性。我们的结果表明，在惰性实验模型中使用多夹可调节血管夹进行端侧吻合术是可行的。在临床应用之前，必须在活体动物模型中证明其可行性。
